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Application for Refund of International Fees - Monash University

Application for Refund of International Fees - Monash University

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Student ID: ________________________<br />

Q1. Is the original payment made by a credit card?<br />

Yes – go to option (D) below<br />

No – go to Q2.<br />

Q2. Is the refund to be made payable to:<br />

You (student)? – choose only one option: (A) or (B) or (C) below<br />

Another person, sponsor or institution? – go to option (C)<br />

Where a bank draft or cheque is sent to a person, sponsor or institution nominated by you, <strong>Monash</strong> <strong>University</strong>/<strong>Monash</strong><br />

College Pty Ltd shall be deemed to have discharged any obligation it may have in relation to the refund <strong>of</strong> fees to you and<br />

accepts no responsibility <strong>for</strong> you not receiving the benefit <strong>of</strong> such refund <strong>of</strong> international fees.<br />

<strong>Monash</strong> <strong>University</strong>/<strong>Monash</strong> College Pty Ltd is not responsible <strong>for</strong> you not receiving monies from the nominated recipient.<br />

(A) <strong>Refund</strong> into an Australian bank account – Electronic funds transfer (EFT)<br />

Account Name: _________________________________________________________________________<br />

Name <strong>of</strong> Bank: __________________________________________________________________________<br />

Branch: ________________________________________________________________________________<br />

BSB number:<br />

Account number:<br />

(B) <strong>Refund</strong> into an overseas bank account – Telegraphic transfer (TT)<br />

Note: <strong>Refund</strong>s are normally made in the currency <strong>of</strong> your country <strong>of</strong> permanent residence. <strong>Monash</strong> <strong>University</strong> is not liable <strong>for</strong> any bank fee<br />

charges and variance from <strong>for</strong>eign exchange rates fluctuations.<br />

Beneficiary Name (Your name): ______________________________________________________________<br />

Beneficiary Address (Your address): ___________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

Beneficiary Account Name: ________________________________________________________________<br />

Beneficiary Account number:<br />

Bank Name: ____________________________________________________________________________<br />

Bank Street Address: _____________________________________________________________________<br />

______________________________________________________________________________________<br />

SWIFT Code (eg. HSBCHKXXXX): __________________________________________________________<br />

(Contact your bank <strong>for</strong> details if unsure)<br />

(C) <strong>Refund</strong> by overseas bank draft / cheque<br />

Note: <strong>Refund</strong>s are normally made in the currency <strong>of</strong> your country <strong>of</strong> permanent residence with the exceptions <strong>of</strong> drafts to PR China, India<br />

and cheques within Australia in AUD and non-tradable currencies where the refund will be paid in USD. <strong>Monash</strong> <strong>University</strong> is not liable <strong>for</strong><br />

any variance from the <strong>for</strong>eign exchange rates fluctuations.<br />

Draft / cheque payable to - Title: _ _____ Name: ______________________________________________<br />

Address: _______________________________________________________________________________<br />

______________________________________________________________________________________<br />

______________________________________________________________________________________<br />

(D) <strong>Refund</strong> by credit card<br />

Card type: Visa MasterCard<br />

Cardholder’s name: ______________________________________________________________________<br />

Credit card number:<br />

Expiry Date: _____ / _____<br />

Cardholder’s Signature: ______________________________<br />

This <strong>for</strong>m can be submitted:<br />

• In person – at <strong>Monash</strong> Connect on your campus<br />

• By fax – (03) 9543 9314<br />

• By mail – <strong>Fees</strong> Unit, Building 3C, <strong>Monash</strong> <strong>University</strong>, VIC 3800, Australia

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